Provider Demographics
NPI:1306065016
Name:HERMAN, STEVE (PHD)
Entity type:Individual
Prefix:DR
First Name:STEVE
Middle Name:
Last Name:HERMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 KAIULANI ST
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-2532
Mailing Address - Country:US
Mailing Address - Phone:808-933-3284
Mailing Address - Fax:206-309-0486
Practice Address - Street 1:174 KAIULANI ST
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-2532
Practice Address - Country:US
Practice Address - Phone:808-933-3284
Practice Address - Fax:206-309-0486
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPENDING103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling